A HIGH YIELD ATLS & TRAUMA EXAM
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QUESTIONS WITH ANSWERS |\ |\
Approach Overview - CORRECT ANSWERS ✔✔*1. Preparation* →
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Known & Potential Problems, People, Plan, & Props
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• Equipment
|\
|\ *A*irway trays, BVM, C-spine equipment
|\ |\ |\ |\
|\ *B*reathing → chest tube tray x2, decompression needles
|\ |\ |\ |\ |\ |\ |\
|\ *C*irculation → warmed IVF, O+/- |\ |\ |\ |\
|\ PRBCs, tourniquet, splints, thoracotomy tray
|\ |\ |\ |\
|\ *D*rugs → code cart, RSI drugs, pain meds
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*E*xtras → foleys, blankets, NG tube
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*2. Triage* → Check for surgeon/TT/Trauma transfer cirteria →
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activate TT ± surgeon |\ |\ |\
|\ *3. Primary Survey (ABCDE) & Resus*
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*4. Adjuncts to Primary & Resus* → ECG, FAST, CXR, C-spine XR,
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AP pelvis XR, ABG, coags, CBC, C7, Foley, NG
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• Adjuncts should not interrupt resus
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|\ *5. Decide to transfer or not*
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,|\ *6. Secondary Survey & AMPLE Hx*
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|\ *7. Continuous Post-Resus Monitoring & Re-evaluation*
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*8. Transfer to Definitive Care*
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Criteria for any |\ |\ |\
• Trauma Activation
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• Transfer to Trauma Centre
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• Presence of surgeon in trauma (Only the first 4 criteria) -
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CORRECT ANSWERS ✔✔• Shock (SBP<90) |\ |\ |\ |\
• Required ETT
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• GCS<8
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• Pentrating trauma to head, neck or torso
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• Limb amputation prox to wrist/ankle
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• 2 long bone #
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• Evidence of spinal cord injury
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• Major peds or preg >20w trauma
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Chest trauma + unstable VS + suspected HTX or PTX - CORRECT
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ANSWERS ✔✔1) Immediate needle/finger thoracostomies → chest
|\ |\ |\ |\ |\ |\
tube
|\
2) If >1500ml or >200ml/h → urgent thoracic consult
|\ |\ |\ |\ |\ |\ |\ |\
, Classification of Hemorrhagic SHOCK - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔Class 1 → Normal VS (<750ml) |\ |\ |\ |\ |\
Class 2 → Tachy, ↓PP (750-1500ml)
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Class 3 → HypoTN (1.5-2L) |\ |\ |\ |\
Class 4 →↓LOC/lethargic (>2L)
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Airway in trauma - CORRECT ANSWERS ✔✔• Always maintain C-
|\ |\ |\ |\ |\ |\ |\ |\ |\
spine
In trauma intubations, always ues
|\ |\ |\ |\
• Manual n-line stabilization
|\ |\ |\
• A bougie
|\ |\
• RSI unless predicted difficult intubation or mid-face trauma or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CI (→ awake ± cric)
|\ |\ |\ |\
• VL if possible (↓ c-spine movement)
|\ |\ |\ |\ |\ |\
Trauma Primary Survey - CORRECT ANSWERS ✔✔*Airway & C-
|\ |\ |\ |\ |\ |\ |\ |\
Spine precautions* |\
• Decide to ETT or not
|\ |\ |\ |\ |\
• If ETT → do neuro exam before ETT
|\ |\ |\ |\ |\ |\ |\ |\
|\
*Breathing & Ventilation* |\ |\
• Check: BS B/L, distress, asym, lacs/contusion/deformity/crepitus
|\ |\ |\ |\ |\ |\
• R/O & treat ATOM-FC
|\ |\ |\ |\
• O2 for all trauma patients
|\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
Approach Overview - CORRECT ANSWERS ✔✔*1. Preparation* →
|\ |\ |\ |\ |\ |\ |\ |\
Known & Potential Problems, People, Plan, & Props
|\ |\ |\ |\ |\ |\ |\
• Equipment
|\
|\ *A*irway trays, BVM, C-spine equipment
|\ |\ |\ |\
|\ *B*reathing → chest tube tray x2, decompression needles
|\ |\ |\ |\ |\ |\ |\
|\ *C*irculation → warmed IVF, O+/- |\ |\ |\ |\
|\ PRBCs, tourniquet, splints, thoracotomy tray
|\ |\ |\ |\
|\ *D*rugs → code cart, RSI drugs, pain meds
|\ |\ |\ |\ |\ |\ |\
*E*xtras → foleys, blankets, NG tube
|\ |\ |\ |\ |\
*2. Triage* → Check for surgeon/TT/Trauma transfer cirteria →
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
activate TT ± surgeon |\ |\ |\
|\ *3. Primary Survey (ABCDE) & Resus*
|\ |\ |\ |\ |\
*4. Adjuncts to Primary & Resus* → ECG, FAST, CXR, C-spine XR,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
AP pelvis XR, ABG, coags, CBC, C7, Foley, NG
|\ |\ |\ |\ |\ |\ |\ |\
• Adjuncts should not interrupt resus
|\ |\ |\ |\ |\
|\ *5. Decide to transfer or not*
|\ |\ |\ |\ |\
,|\ *6. Secondary Survey & AMPLE Hx*
|\ |\ |\ |\ |\
|\ *7. Continuous Post-Resus Monitoring & Re-evaluation*
|\ |\ |\ |\ |\
*8. Transfer to Definitive Care*
|\ |\ |\ |\
Criteria for any |\ |\ |\
• Trauma Activation
|\ |\
• Transfer to Trauma Centre
|\ |\ |\ |\ |\
• Presence of surgeon in trauma (Only the first 4 criteria) -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔• Shock (SBP<90) |\ |\ |\ |\
• Required ETT
|\ |\
• GCS<8
|\
• Pentrating trauma to head, neck or torso
|\ |\ |\ |\ |\ |\ |\
• Limb amputation prox to wrist/ankle
|\ |\ |\ |\ |\
• 2 long bone #
|\ |\ |\ |\
• Evidence of spinal cord injury
|\ |\ |\ |\ |\
• Major peds or preg >20w trauma
|\ |\ |\ |\ |\ |\
Chest trauma + unstable VS + suspected HTX or PTX - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1) Immediate needle/finger thoracostomies → chest
|\ |\ |\ |\ |\ |\
tube
|\
2) If >1500ml or >200ml/h → urgent thoracic consult
|\ |\ |\ |\ |\ |\ |\ |\
, Classification of Hemorrhagic SHOCK - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔Class 1 → Normal VS (<750ml) |\ |\ |\ |\ |\
Class 2 → Tachy, ↓PP (750-1500ml)
|\ |\ |\ |\ |\
Class 3 → HypoTN (1.5-2L) |\ |\ |\ |\
Class 4 →↓LOC/lethargic (>2L)
|\ |\ |\
Airway in trauma - CORRECT ANSWERS ✔✔• Always maintain C-
|\ |\ |\ |\ |\ |\ |\ |\ |\
spine
In trauma intubations, always ues
|\ |\ |\ |\
• Manual n-line stabilization
|\ |\ |\
• A bougie
|\ |\
• RSI unless predicted difficult intubation or mid-face trauma or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CI (→ awake ± cric)
|\ |\ |\ |\
• VL if possible (↓ c-spine movement)
|\ |\ |\ |\ |\ |\
Trauma Primary Survey - CORRECT ANSWERS ✔✔*Airway & C-
|\ |\ |\ |\ |\ |\ |\ |\
Spine precautions* |\
• Decide to ETT or not
|\ |\ |\ |\ |\
• If ETT → do neuro exam before ETT
|\ |\ |\ |\ |\ |\ |\ |\
|\
*Breathing & Ventilation* |\ |\
• Check: BS B/L, distress, asym, lacs/contusion/deformity/crepitus
|\ |\ |\ |\ |\ |\
• R/O & treat ATOM-FC
|\ |\ |\ |\
• O2 for all trauma patients
|\ |\ |\ |\ |\
